Nursing Elites

1. What is the name of the sheath of connective tissue that surrounds a skeletal muscle?

• A. Epimysium
• B. Perimysium
• C. Endomysium
• D. Myofibril

Correct answer: A

Rationale: The correct answer is Epimysium. The epimysium is the outermost layer of connective tissue that surrounds a skeletal muscle, providing protection and support to the muscle as a whole. Perimysium, which surrounds bundles of muscle fibers known as fascicles, is not the sheath that surrounds the entire muscle. Endomysium surrounds individual muscle fibers, not the entire muscle. Myofibril is a structure within muscle fibers that contains the contractile proteins responsible for muscle contraction, but it is not the sheath of connective tissue surrounding the muscle.

2. Which type of muscle tissue has a unique branching network and is found in the heart?

• A. Skeletal muscle
• B. Cardiac muscle
• C. Smooth muscle
• D. Multifidus muscle

Correct answer: B

Rationale: The correct answer is B, Cardiac muscle. Cardiac muscle is the type of muscle tissue that has a unique branching network and is found in the heart. This type of muscle is involuntary and contracts rhythmically to pump blood throughout the body. Skeletal muscle, choice A, is attached to bones and is responsible for voluntary movements. Smooth muscle, choice C, is found in the walls of internal organs and blood vessels, playing a role in involuntary movements. Multifidus muscle, choice D, is a specific muscle in the back that helps with spinal stability, unrelated to the unique branching network found in cardiac muscle.

3. Which of the following describes a typical gas?

• A. Indefinite shape and indefinite volume
• B. Indefinite shape and definite volume
• C. Definite shape and definite volume
• D. Definite shape and indefinite volume

Correct answer: B

Rationale: The correct answer is B: 'Indefinite shape and definite volume.' A gas does not have a definite shape as it takes the shape of its container, conforming to its surroundings. However, a gas does have a definite volume because it fills the entire volume of the container it occupies. This characteristic allows gases to expand to fill the available space provided by the container, while their volume remains constant within that container. Choice A is incorrect because gases do not have an indefinite volume but rather a definite volume. Choice C is incorrect as gases do not have a definite shape but take the shape of their container. Choice D is incorrect as gases do not have a definite shape and their volume is definite, not indefinite.

4. What is the process by which muscle tissue wastes away due to disuse or lack of nutrients?

• A. Hypertrophy
• B. Atrophy
• C. Fibrosis
• D. Rigor mortis

Correct answer: B

Rationale: Atrophy is the correct term for the process by which muscle tissue wastes away due to disuse or lack of nutrients. It is essential to differentiate atrophy from hypertrophy, which is the increase in muscle size due to exercise or strength training. Fibrosis involves the formation of excess fibrous connective tissue, which is distinct from muscle wasting. Rigor mortis, on the other hand, is the stiffening of muscles that occurs after death and is not related to muscle wasting during life.

5. In the context of cholesterol levels, LDL cholesterol is often referred to as:

• A. HDL or "good" cholesterol.
• B. LDL or "bad" cholesterol.
• C. Total cholesterol, encompassing both LDL and HDL.
• D. VLDL, a type of triglyceride transported in the bloodstream.

Correct answer: B

Rationale: LDL cholesterol is often referred to as "bad" cholesterol because high levels of LDL can lead to plaque buildup in the arteries, increasing the risk of heart disease and stroke. LDL cholesterol is considered harmful as it contributes to the formation of plaque in blood vessels, whereas HDL cholesterol helps remove LDL from the arteries. Choice A is incorrect because HDL is known as "good" cholesterol, which helps remove LDL cholesterol from the bloodstream. Choice C is incorrect as it refers to total cholesterol, which includes LDL, HDL, and other lipids. Choice D is incorrect as VLDL is a different type of lipoprotein that carries triglycerides and is not specifically related to LDL cholesterol.

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